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Home My WebLink About20041791 r Foes STATE OF COLORADO Per Office Use Only No. OFFICE OF THE STATE ENGINEER GwSt t 818 Centennial Bldg.,1313 Shannon St..Denver,CO 80203 06,00 (303)888-3581 Fax(303)888-3588 re„*0,0156i CHANGE IN OWNERSHIPIADDRESS CORRECTION OF THE WELL LOCATION RECEWED Insert the Well Permit Number JUL 2 7 2001 Nave address and shale of the person deistic ownership dihe walk art arissouncss NANE4S) David J.&Darlene Rodsadc mono Address 5675 VCR 43 Boor 304 • ltyowwell has m absolute waver re,daetieod by the cam and the well inset regismed with the City,St2Ip Hudson,CO 80842 Sas Swifter,enter the Water Cow Case Nestor/civil Adios Humber and wd1 nmba as donut Phone ( 303 ) 636.0110 wok (303)428.4646 This form is fled by the named indiVidusgenlity claiming that they me the owner of the well minted as referenced above. This tins S made ou auan to C.R.S.37-90-143. WELL LOCATION: County Weld Owrer's Well Designation - • (Address) (City) ( ) (EP) sE 1/4 of the.!1/4,Sec.4 ,Tv*1 2LI N.*NOS.,Rage 05 0 E.or®W.,6 P.M. Rintance from Section Lines . 11310 Ft From © N.or O S.. 500 Ft.From®E or D W.Line. Subdivision Name Lot ,Block .Final Unit The above listed owner(s)say(s)that he,she(they)own the well desaibed herein. The existing record is being amended for the following reasons: ®Change Ii name Of owner O Change in mating address ❑Correction of location for exempt welts permitted prior to May 8. 1972 and non-exempt wells permitted after May 17.1965. Please see the reverse side for further information regarding oortnctlon of the well location. I(we)deim and say that I(we)(me)the owner(s)of the vyet described above and that the commencement of extraction of ground water horn this well,lawfully made wider the well permit,occurred on the date indicated,and that the stetanats made herein we true to my(our)knowledge. Please print the Signer's Name&Ties (s)of ar. Date • David J.RoBsock Darlene Roth rock -7—Zotop-W it is the resporaditity of the new owner oflhis well to complete and sign the form. Signatures of agents are acceptable tan original letlarof agency signed by the owner is attached to the than upon Is receipt. Far Office ur.Oay Mew*MAILING ADDRESS.CMIVES 111----P----21 • Last. a) b, -q.t. By Data • 2004-1791 `ISP106P INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. G-900132 WELD COUNTY HEALTH DEPARTMENT NEW PERMIT ENVIRONMENTAL HEALTH SERVICES 1517 16TH AVENUE COURT, GREELEY, CO 80631 353-0635 EXT.2225 4NER S. E. DAIRY ADDRESS P.O. BOX 8 PH (303) 659-25 HUDSON CO 80642 )DRESS OF PROPOSED SYSTEM 5675 WCR 43 HUDSON CO 80642 ;GAL DESCRIPTION OF SITE: NW4 NE4 SEC 4 TWP i RNG 65 JBDIVISION: LOT 0 BLOCK 0 FILING 0 7E TYPE : RESIDENTIAL MOBILE HOME RVICES : PERSONS i BATHROOMS 1 .00 LOT SIZE 134.50 ACRES BEDROOMS 2 BASEMENT PLUMBING NO WATER SUPPLY PWELL 'PLICATION FEE $150.00 C ' D BY RECEPTIONIST AID SIGNED BY LUCILLE BRADY DATE 06/28/90 DATE 06/28/90 :RCOLATION RATE 23.0 MIN PER INCH LIMITING ZONE 0 FEET )IL TYPE SUITABLE PERCENT GROUND SLOPE OX DIRECTION :QUIRES ENGINEER DESIGN NO :OM THE APPLICATION INFORMATION SUPPLIED AND THE ON-SITE SOIL PERCOLATION DATA '.E FOLLOWING MINIMUM INSTALLATION SPECIFICATIONS ARE REQUIRED : SEPTIC TANK 1000 GALLONS, ABSORPTION TRENCH 486 SQ. FT. OR ABSORPTION BED 626 SQ. FT. JDITION, THIS PERMIT IS SUBJECT TO THE FOLLOWING ADDITIONAL TERMS AND 1NDITIONS : ITS PERMIT IS GRANTED TEMPORARILY TO ALLOW CONSTRUCTION TO COMMENCE. THIS PERMII tY BE REVOKED OR SUSPENDED BY THE WELD COUNTY HEALTH DEPARTMENT FOR REASONS SET !RTH IN THE WELD COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS INCLUDING tILURE TO MEET ANY TERM OR CONDITION IMPOSED THEREON DURING TEMPORARY OR FINAL 'PRGVAL. THE ISSUANCE OF THIS PERMIT DOES NOT CONSTITUTE ASSUMPTION BY THE :PARTMENT OR ITS EMPLOYEES OF LIABILITY FOR THE FAILURE OR INADEQUACY OF THE :WAGE DISPOSAL SYSTEM. AA 1-C lPio6;.. // - 2 - 96"-Li WES POTTER 07/03/90 c,,,,y // - 5 - 91 a ENVIRONMENTAL SPECIALIST DATE IS PERMIT IS NOT TRANSFERABLE AND SHALL BECOME VOID IF SYSTEM CONSTRUCTION HAS T COMMENCED WITHIN ONE YEAR OF ITS ISSUANCE. BEFORE ISSUING FINAL APPROVAL OF IS PERMIT THE WELD COUNTY HEALTH DEPARTMENT RESERVES THE RIGHT TO IMPOSE ADDI- ONAL TERMS AND CONDITIONS REQUIRED TO MEET OUR REGULATIONS ON A CONTINUING BA- S. FINAL PERMIT APPROVAL IS CONTINGENT UPON THE FINAL INSPECTION OF THE COM- ETED SYSTEM BY THE WELD COUNTY HEALTH DEPARTMENT. / STEM INSTALLER FINAL INSPE IOC! D E ! 19 STEM ENGINEER APPROVAL FE OF SYSTEM INSTALLED 4 ENVIRO MENTAL ECIALIST E ISSUANCE OF THIS PERMIT DOES NOT IMPLY COMPLIANCE WITH OTHER STATE, COUNTY ,.LOCAL REGULATORY OR BUILDING REQUIREMENTS, NOR SHALL IT ACT TO CERTIFY THAT ;UBJECT SYSTEM WILL OPERATE IN COMPLIANCE WITH APPLICABLE STATE, COUNTY AND CAL REGULATIONS ADOPTED PERSUANT TO ARTICLE 10, TITLE 25, CRS 1973, AS AMENDED, CEPT FOR THE PURPOSE OF ESTABLISHING FINAL APPROVAL OF AN INSTALLED SYSTEM FOR SUANCE OF A LOCAL OCCUPANCY PERMIT PURSUANT TO CRS 1973 25-10-ii1 (2) . w� r oa � X-xac, = sv - 2' R/oo , to Snaelse G-------. wag-49 1(1 4;--444 -7- • • DEPARTMENT OF PUBLIC013/4 HEALTH AND ENVIRONMENT 1555 N 17TH AVE GREELEY,CO 80631 WEBSITE: www-co.weld.00.us ' ADMINISTRATION304-6410 FAX(997070)304-6412 PUBLIC HEALTH EDUCATION AND NURSING (970)304-6420 FAX(970)304-6416 COLORADO ENVIRONMENTAL HEALTH SERVICES(970)304-6415 FAX(970)304641• July 29,2003 David Rothrock Post Office Box 304 Hudson,Colorado.80642 f I RE:David Rotbrock ISDS No.:ISDS-03079 Permit No.:SE-0300076 On July 28,2003 an evaluation of the existing individual septic disposal system at 5675 County Road 43,Hudson; Section 4,Township I North,Range 65 west, was conducted by Steve J.Wiarowski,an Environmental Specialist of thigi,department. • This evaluation is based at a final treatment capacity fora.._bedroom ressidence. Them is not enough information provided to determine if the system is adequate.However,no visible signs of failure were noted at the time of inspection. Be advised,neither the County of Weld nee any of its agents or employees undertake or assume any liability to the owner of the above property,to any purchaser of the above property or to any lending agency making a loan on the above property or in the report. This inspection was conducted for the purpose of determining compliance with current regulations and for detecting health hazards observable at the time of inspection. This does not constitute a warranty that the system is without flaw or that it will continue to function in the future. Inspections requested during periods of snow cover and high soil salutation may be of questionable value to potential buyers due to „ adverse conditions. Evaluations based on Statements of Existing(S.O E.)robes on information the property owner provides,under oath,indicating current status of the system and representing to the best of his/her knowledge the system is not Ming to function property. . If we coo be of any further fiance,please contact our office at(970)304-6415. Sincerely, ate a J. trowslo Environmental Health Specialist Jun 08 04 10: 03a Todd Hodges Design, LLC 970-613-8775 p, 3 Mo �G-1.• 1 h..05 -ti<�. 7e COLORADO DIVISION OF WATER RESOURCES ..„3—O 818 Centennial Bldg.,1313 Sherman St.,Denver,Colorado 80203 Application , must ,( PERMIT APPLICATION FORM be complete whereRECEIVED ( I A PERMIT TO USE GROUND WATER applicable. Type or ( I A PERMIT TO CONSTRUCT A WELL ?4 print in BLACK '0324... ?:.7. i' INK.No overstrikes nOy 2 2 X89 FOR: I ) A PERMIT TO INSTALL A PUMP z ^n or erasures unless ( I REPLACEMENT FOR NO. I',r4Y,0I?Ci ru:.L.; initiated, WATER tiE✓QURC 3 ( OTHER Cie? ,' STATE ENGINEER cop Gins' TM F-u,L.: 00LO. WATER COURT CASINO. ,r'(_. (1) APPLICANT • mailing address CHG �IN FOR OFFICE USE ONLY; DO NOT w,yTfaTE IN-THIS COLUMN CL—I OLi73C4 NAME eeG�o�/ R Zrfla)ns4 Jr Receipt No.3bf 3 z.j STREET AQ 4,5o,S' 2 pz 'a. Basin _ Dist. car CITY - �r.v ea e /d ea 7-7- 7 (State) (Zip) cONDITIONS OF APPRQVer TELEPHONE NO, off' a 3- YG G �-l6 43, This well shall be used in such a way as to cause no material injury to existing water rights. The (2) LOCATION OF'PROPOSED WELL issuance of the permit does not assure the applicant .Ea-.s , ,,, G that no Injury will occur to another vested water County !i(/erG lJ right or preclude another owner of a vested water _ ,r, right from seeking relief in a civil coup action. S'C- ''h of the ' f Y.,Section 4" ° 11 APPROVED FOR THE EXPANDED USE OF AN EXISTING Twn.—�.__ N,Rng. ,C_ P M LL Pg IT NO. 35250-F PURSUANT TO IN.SI iF.wl 37-9b-137 4) FINDINGS C.R.S. (3) WATER USE AND WELL DATA ENGINEER ATED DECEMBER 27, 1989. OF THE STATE T� BHEE WIT waAWN RBY$THIIS AIL UNUNDERT OF EATER WELL PERMIT NO. 35250-F IS 7.5 A REIS PT. Proposed maximum pumping rate(gpm) , OC�'� 3 THE MAXIMUM PUMPING'RATE OF27 5THE ACHELLgES JO T EXCEED 20 GALLONS PER MINUTE, ALL SHALL Average annual amount of wound water ) B GROUND WATER PRODUCTION FROM THIS WELL SHALL to be appropriated (acre-feet): `��"-' 5 LIMITED TO MEETTER XMUSTLSBE4UINST_ Number of acres to he irrigated; /I/ri><dC/.abr�p? ( OM: ADDITIONAL CONDITIONS IN FINDING INSTALLED. Itgc. a• z ,, 119 Proposed total depth (feat), 7 5'4 Aquifer ground water is to be obtained from: ILAR A sr /e- —VC°X .4''i..„4- Owner's well designation GROUND WATER TO BE USED FOR: l is HOUSEHOLD USE ONLY -no irrigation (0) (!el DOMESTIC (11 (XI INDUSTRIAL(Si I,K1 LIVESTOCK (21 (.1) IRRIGATION (8) (X) COMMERCIAL (4) (AC) MUNICIPAL (SI SEE 2 3Z�2— F- ( d OTHER 191 cY-Gt'd7Yc,.,_ ,b,.av cro„z I eaa's APPLICATION T APPROVED DETAIL THE USE ON BACK IN (11) (4) DRILLER K/ PERMIT NUMBER 036075 DATE ISSUED 2 1989 Name EXPIRA ION DATE DEC 27 1990 Street.�- City • T!/1 (State) (tip} AT ENG NEE•R{ ea.. Telephone No. Lie No. BY " •/✓ /v"" ' I.D. I--l)0-_ COUNTY (pa, Jun 08 04 10: 03a Todd Hodges Design, LLC 970-813-8775 p, 4• i------------(5) THE LOCATION OF THE PROPOSED WELL and the area on which the water will be u must be indicated on the diagram below. (6) THE WELL MUST BE LOCATE Use the CENTER SECTION (1 section, 640 acres)for the well location. BEr by distances from section lines. f __ _fr ..._ ..}_ — f. _ _4 _ 4 - _ ± - 4 _Tana_ft.from y,•e/e rct fnw arv-aamnp -sec.line ,4--1 MILE,5280 FEET--),ISOd I -{- + + + I ft,from �.4s — - + + + ± leaserwian —sec, line L07 BLOCK FILING « -I- — -I. — I NORTH SE 110111 LINE — + _ 1 SUBDIVISION I NORTH w — — - 1- 1. Owner'° �{ INo.ofacsOf7' w II . I, the only well on this tfact? 1/p f t - w I = (8) ?JiOPOSED CASING P ____M L -1-- ; _ ..L. _ z I1 Plain Casing + r —sue._in. from___C___ft.to ieS� ft. - — + SOUTH SECTION LIN' .. "'4" -- I Perforated casingfr SOUTH TO�.. ft. T + -I. �- -(- ( I --L min.from �Y� ft. to m 1 4 + +� I I I in,from ft.to It _ - �I (9) FOR REPLACEMENT I I I T — ± — -F -- +.. -- + - -- } givedIstance and direction from old well and plans or plugging 4- — it: •The scale of the diagram is 2.inches a 'I mile Each small square represents 4D acres. WATER EQUIVALENTS 7ASLE (Rounded Figures, An acre-foot covers loom of land 1 foot.deal) 1 cubic toot per second lcfsl.,.449 gallons per minute I A family of 5 will require approximately l acre-root m • 1 acre-loot. 43.560 cubic foot, 325,500 gallons. _.______________d_____ water per Var. 1,009gpm dumped continuously for one day produces 4.42.acre,reet. (1p) LAND CAN WHICH RO [hr1�0 yyATER wll Jae jaert Owne rYs� ic a if `. /r, �6-17`1."1" (-nit. ✓R f Legal desa talc ion: No.of acres: / (11) QUAm10 F �cr p pulaT101L1 --.� system to be used. of the use of ground water: Household use end domestic wells must indicate type/ �� 4 06. ale of disposal i-ri.Cr h A.. .� irr'a•<rf...ix asr.,' C r (12)UTHER WATER Ethean used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for(purpose) �1�, , i Description or land on which used 7 (13) THE APPLICANTS) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST O IS KNOWLEDGE. 51GNA TURF OF AP ICANT/SI r Use additional sheets of Paper 1} more space is required, FINDINGS OF THE STATE ENGINEER AN THE MATTER OF AN APPLICATION FOR A PERMIT TO CONSTRUCT A WELL IN WATER DIVISION NO. 1, WELD COUNTY, COLORADO APPLICANT : RUDOLPH R. ZEHNDER, JR. AQUIFER : LARAMIE-FOX HILLS PERMIT NO.: 35'250 - F In compliance with C.R.S. 37-90-137(1) and the Statewide Nontributary Ground Water Rules, Rudolph R. Zehnder, Jr. , P.O. Box 29280, Denver, CO 80229, (hereinafter "applicant") submitted an application for a permit to construct a well . Based on information provided by the applicant and records of the Division of Water Resources, the State Engineer finds as follows: 1. The application was received complete by the State Engineer on June 2, 1989. 2. The applicant proposes to withdraw water from a well originally constructed under expired well permit No. 16415-F. The well is located in the SE1/4 of the NE1/4 of Section. 4, Township 1 North, Range 65 West, 6th Principal Meridian. 3. The well is located outside the boundari's of a designated ground water basin. 4. The applicant proposes to apply the water withdrawn from the well to the following beneficial uses: domestic, commercial . 5. The proposed maximum pumping rate of the well is 20 gallons per minute, and the requested average annual amount of ground water to be withdrawn is 32 acre-feet. 6. The applicant is the owner of the land on which the well is constructed. 7. The well would withdraw ground water from the Laramie-Fox Hills Aquifer (hereinafter "aquifer") . - 8. The location of the well is more than 600 feet from any existing well completed in the aquifer. 9. According to a sworn statement, the applicant owns, or has consent to withdraw ground water underlying 131 acres of land as further described in said statement, which is attached hereto as Exhibit A. 10. Withdrawal of ground water from the aquifer underlying the land claimed by the applicant will not, within one hundred years, deplete the flow of a natural stream at an annual rate greater than one-tenth Applicant: Rudolph ZeFnder, Jr. rage c Aquifer: Laramie-Fox Hills rFermit No. : 35,25O- r of one percent of the annual rate of withdrawal and therefore the ground water is nontributary ground water as defined in C.R.S. 37-90-103(10.5) . 11. In considering whether the requested permit shall be approved the provisions of C.R.S. 37-90-137(4) and the Denver Basin Rules shall apply. Withdrawals shall be allowed on the basis of an aquifer's life of 100 years, C.R.S. 37-90-137(4) (b) (I) . 12. The quantity of water in the aquifer, exclusive of artificial recharge, underlying the 131 acres of land described in Exhibit A is 2751 acre-feet. This determination was based on the following as specified in the Denver Basin Rules: a. The average specific yield of the saturated aquifer materials underlying the land under consideration is 15 percent. b. The average thickness of the saturated aquifer materials underlying the land under consideration is 140 feet. 13. A review of the records in the State Engineer's office has not disclosed that there are any existing walls or other water rights claiming or withdrawing ground water from the aquifer underlying the land claimed by the applicant. Based on the above, the State Engineer finds that there is water available for withdrawal by the well and no material injury to vested water rights would result from the issuance of the requested permit subject to the following conditions: a. The allowed average annual amount of water to be withdrawn from the aquifer by the well shall not exceed 27.5 acre-feet (the quantity of water which is considered available divided by the 100 year aquifer life) . b. The well shall be constructed no more than 200 feet from the location specified on the permit application. c. The maximum pumping rate of the well shall not exceed 20 gallons per minute. d. A totalizing flow meter must be installed on the well and maintained in good working order. Permanent records of all diversions must be maintained by the well owner (recorded at least annually) and submitted to the Division Engineer upon request. e. Production is limited to the Laramie-Fox Hills aquifer. Applicant: Rudolph k. 2e-finder, Jr. Page 3 Aquifer: Laramie-Fox Hills Permit No. : 3.525O-F f. Pursuant to C.R.S. 37-90-137(9)(b) and the Denver Basin Rules, no more than 98% of the nontributary ground water withdrawn annually shall be consumed and the applicant shall demonstrate to the reasonable satisfaction of the State Engineer that no more than 98% of the water withdrawn will be consumed. g. The owner shall mark the well in a conspicuous place with appropriate well permit numbers, name of the aquifer, and court case numbers. He shall take necessary means and precautions to preserve these markings. Dated this ea3 rd day of ' kI.MQ- , 1911. Jeris A. Danielson State Engineer -Steve Lautenschlager U Water Resources Engineer Ground Water Section Prepared by: RAC 2963I/Form #0546(o) • JUN 0 2 1989 STATE OF COLORADO OFFICE OF THE STATE ENGINEER WATER MCC DIVISION OF WATER RESOURCES AAtt EhGIM1R CAD. NONTRIBUTARY GROUND WATER LANDOWNERSHIP STATEMENT I tWol rue/o1pi 7.er+ A(DeQ (Name) claim and say that I (ire) ® ntrei the owner of the following described • property consisting of 131 f acres in the County of WE Ln State of Colorado: (INSERT PROPERTY LEGAL DESCRIPTION) . The )1S 1/4 of the NE 1/4 and the E 1/2 of the NW 1/4 of the NE 1/4, and all of that portion of the S 1/2 of the NE 1/4 and the W 1/2 of the NW 1/4 of the NE 1/4 of Section 4, lying East of the Beebe Canal as now constructed, all in Township 1 North, of Range 65 West of the 6th P.M. • and, that the ground water sought to be withdrawn from the OAt!/tr_F? Yr4'�s aquifer underlying the above-described land has not been conveyed or reserved to another, nor has consent been given to its withdrawal by another. Further, I claim and say that I ? e)..have read the statements made herein; know the contents hereof; and that the same are true to my tour' own knowledge. V (Si ' re) (Date) (Signature) (Date) INSTRUCTIONS Please type or print neatly in black ink. This form may be re?roduc__ by photocopy or work processing means. See ayditional instructions on back. 1311 She_man Street 8th Floor Denver Colorado 30203 (303) 866-3581 Hello